关键词: Anemia Children Intravenous iron therapy Iron deficiency Oral iron therapy

Mesh : Administration, Intravenous / adverse effects Administration, Oral Adolescent Anemia, Iron-Deficiency / blood diagnosis physiopathology therapy Child Child, Preschool Consensus Ferric Compounds / administration & dosage adverse effects economics Ferritins / blood Humans Infant Infant, Newborn Iron / blood Iron Deficiencies Iron, Dietary / standards Pediatrics / methods Switzerland

来  源:   DOI:10.1007/s00431-020-03597-5   PDF(Sci-hub)

Abstract:
Iron deficiency is the most prevalent nutritional deficiency affecting children and adolescents worldwide. A consistent body of epidemiological data demonstrates an increased incidence of iron deficiency at three timepoints: in the neonatal period, in preschool children, and in adolescents, where it particularly affects females.Conclusion: This narrative review focuses on the most suggestive symptoms of iron deficiency in childhood, describes the diagnostic procedures in situations with or without anemia, and provides Swiss expert-based management recommendations for the pediatric context.What is Known:• Iron deficiency (ID) is one of the most common challenges faced by pediatricians.• Significant progress in the diagnosis and therapy of ID has been made over the last decade.What is New:• Our expert panel provides ID management recommendations based on the best available evidence.• They include strategies for ID diagnosis and therapy, both oral and intravenous.
摘要:
缺铁是影响全世界儿童和青少年的最普遍的营养缺乏。一致的流行病学数据表明,在三个时间点,缺铁的发病率增加:在新生儿期,在学龄前儿童中,在青少年中,它特别影响女性。结论:这篇叙述性综述侧重于儿童缺铁的最有启发性的症状,描述了在有或没有贫血的情况下的诊断程序,并为儿科环境提供瑞士专家管理建议。已知:•缺铁(ID)是儿科医生面临的最常见挑战之一。•在过去的十年中,在ID的诊断和治疗方面取得了重大进展。新增内容:•我们的专家小组根据现有的最佳证据提供ID管理建议。•它们包括ID诊断和治疗策略,口服和静脉注射。
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